Delegation of Claims Handling
Response Form
Please return the completed response form indicating the claims handling process your agency has chosen to employ, and the applicable resolution.
The response form and approved resolution must be provided via email to:
Edith Aviña, Administrative Assistant
[email protected]
The _____City Council______ has determined the liability claims handling (Legislative Body)
responsibility for _City of Thousand Oaks_ as follows:
(Agency)
Pursuant to Government Code Sections 910.8, 911.3, 911.6, 912.6, the legislative body of the local public agency resolves a claim against the local public agency.
Pursuant to Government Code Section 935.4, the legislative body of the local public entity authorizes an employee of the local public entity to resolve a claim against the local public agency. (Return the attached Resolution Delegating Basic Claims Handling to Agency Staff)
X Pursuant to Government Code Sections 910 et seq., the legislative body of the local public agency delegates to the California JPIA authority to act on behalf of the local public agency to accept, reject, return as insufficient, or return as untimely any claims against the local public agency, and to provide any notices authorized under those statutes. (Return the attached Resolution Delegating Claims Handling to the California JPIA)
Agency Administrator (signature)
_______________________________
Agency Administrator (please print)
_______________________________
City of Thousand Oaks
_______________________________
Date
ATTACHMENT #5
HRD:180-30\lq\H:\COMMON\StaffReports\2026\06232026 Attachment5.docx